Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fallon Sandoval

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063279339

Fallon Sandoval is an Addiction (Substance Use Disorder) Counselor in Bloomington, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

18612 Santa Ana Ave
Bloomington, CA 92316-2639
Phone: (909) 421-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1063279339
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address18612 Santa Ana Ave, Bloomington, CA 92316-2639

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